ATI RN
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Question 1 of 5
Which of the following individuals would the nurse consider at highest risk for a suicide attempt?
Correct Answer: D
Rationale: The correct answer is D because the older adult's statement about joining his wife in heaven and plan to shoot himself indicates clear intent and imminent risk. This individual has a specific plan and timeframe, making them highest risk. Choice A is incorrect because joking about death does not necessarily indicate an imminent risk of suicide. Choice B is incorrect as past suicide attempts are a risk factor, but immediate intent is more concerning. Choice C is incorrect as the adolescent's statement is concerning, but there is no specific plan or timeframe mentioned, lowering the immediate risk compared to choice D.
Question 2 of 5
In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and encourages the woman to share her coping mechanisms. This response acknowledges the woman's experience and allows her to express her feelings. It also opens up a dialogue for the nurse to assess her current coping strategies. Choice A is too general and does not prompt further discussion. Choice B is judgmental and dismissive of the woman's experiences. Choice D disregards the woman's emotional state and fails to address her current needs. Overall, Choice C is the most appropriate as it shows empathy, encourages open communication, and allows for further exploration of the woman's coping methods.
Question 3 of 5
The Indian Act of 1876 classifies First Nations people into registered status Indians or nonstatus Indians. Knowing a First Nations person's status is important for health care providers, as it:
Correct Answer: C
Rationale: The correct answer is C because knowing a First Nations person's status guides health care providers in planning care. First Nations individuals with status are entitled to specific benefits not covered under provincial health plans. This knowledge helps tailor treatment plans and access appropriate resources. Choice A is incorrect because status does not directly relate to provincial health insurance coverage. Choice B is incorrect as it inaccurately states that only those with status can have unlimited benefits across Canada. Choice D is incorrect because status does not necessarily influence how a person interacts with their community.
Question 4 of 5
Which of the following foods should a client with hypercholesterolemia decrease in their diet?
Correct Answer: B
Rationale: The correct answer is B: Hamburgers. Clients with hypercholesterolemia should decrease their intake of saturated fats and cholesterol. Hamburgers are typically high in saturated fats and cholesterol due to the ground beef patty and cheese. Broiled catfish (A) is a lean protein source and can be a healthier option. Wheat bread (C) is a good source of fiber and can help lower cholesterol levels. Fresh apples (D) are a healthy choice low in saturated fats and cholesterol. Therefore, hamburgers should be decreased in the diet to manage hypercholesterolemia effectively.
Question 5 of 5
A nurse is caring for a patient with cirrhosis. The nurse should monitor for signs of which of the following complications?
Correct Answer: B
Rationale: The correct answer is B, Hepatic encephalopathy. In cirrhosis, the liver is unable to detoxify ammonia, leading to its accumulation and causing neurological symptoms. Monitoring for signs such as confusion, altered mental status, and asterixis is crucial. Acute renal failure (A) is not directly related to cirrhosis but may occur as a complication. Acute pancreatitis (C) is not a typical complication of cirrhosis. COPD (D) is a respiratory condition and not directly associated with cirrhosis.
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